Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelcey Raye Cooper, PA-C, ATC

Individual provider Athletic Trainer · NPI 1922515923

Kelcey Raye Cooper, PA-C, ATC is a Physician Assistant in Olive Branch, Mississippi. Qualified in 2019, 7 years ago. Practices with Methodist Inpatient Physicians LLC, a 123-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
7
Licensed in
MS
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

4250 Bethel Rd
Olive Branch, MS 38654-8737
Phone: (901) 516-1290
Fax: (901) 516-1220
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7691 Poplar Ave, Germantown, TN 38138-3904 — (901) 516-1290

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA00617 (MS)
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1922515923
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C , ATC
Sole proprietorNo
NPI enumeratedDecember 29, 2017
Last updated in NPPESMay 27, 2025
Certification dateMay 27, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Methodist Inpatient Physicians Llc — 123 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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